Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fabrice Da'Val Gantt, LPN

Individual provider Licensed Practical Nurse · NPI 1639749500

Fabrice Da'Val Gantt, LPN is a Licensed Practical Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

261 9th St
Brooklyn, NY 11215-3905
Phone: (718) 369-3812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 274690 (NY)

Record details

NPI number1639749500
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 1, 2021
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

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